Psychological factors that influence traumatic injury occurrence and physical performance

This 9 month prospective study, conducted at the US Army Sergeants Major Academy (USASGMA), examined the association of selected psychological variables (e.g., measures of tension/anxiety, sleep disturbance, Type A behavior pattern) with injury occurrence and physical performance in 126 soldiers. ANOVA and logistic regression analyses revealed significant relationships between: 1) Traumatic injury occurrence and mean tension/anxiety scores, 2) Mean self-reported sleep disturbance scores and traumatic injury occurrence, 3) The Type A behavior pattern (abbreviated Jenkins Activity Survey) and number of sit-ups repetitions completed in 2 minutes, one component of the Army Physical Fitness Test (APFT), 4) The Type A behavior pattern and total score APFT. No significant associations were found for mean tension/anxiety scores and overuse injuries, or Type A behavior pattern and two mile run time or number of push-up repetitions completed in 2 minutes. These data suggest traumatic injury occurrence is influenced by tension/anxiety and disturbances in sleep habits. Additionally, individuals with higher Jenkins Activity scores (characteristic of the Type A behavior pattern) perform better physically.     

Effectiveness of a screening tool to detect injuries during Army Health Care Specialist training

The purpose of this project was to evaluate the effectiveness of an initial screening and referral process in reducing the impact of musculosketetal injuries among soldiers attending Health Care Specialist training. Musculoskeletal injury among Army Health Care Specialist students have been reported to be approximately 24% for men and 24-30% for women. The highest student visit rate to the troop medical clinic for musculoskeletal injuries, for men and women, occurs during the first week of training. Anecdotal reports indicate that many students arrive for training with existing injuries or symptoms. This project was designed to assess whether formalized early screening, referral, and intervention could 1) identify arriving students who need musculoskeletal injury-related medical attention, 2) reduce the number of students receiving limited duty status during their 10-week training, 3) decrease the total number of limited duty days for students, and 4) decrease the number of students who cannot graduate due to musculoskeletal injury. Students (N=291) from one company were divided into three groups of 97 students. Three methods were used to screen and refer students for medical intervention: 1) traditional (T), 2) by health care providers (HCP), or 3) by Drill Sergeants (DS). Screening by HCP and DSs involved using a new screening tool to identify and consequently refer students with symptoms to a troop medical clinic (TMC) for early evaluation and intervention. Using the screening tool, HCPs identified 92% of students with injuries, while DSs accurately identified 80%. The screening did not reduce the number of students receiving limited duty status, total limited duty days, or the number of students that could not graduate due to musculoskeletal injury ("holdovers") (p>0.05). The screening tool demonstrated good sensitivity and specificity whether conducted by HCPs or DSs. It failed to demonstrate efficacy in reducing the impact of musculoskeletal injuries among Combat Medic soldiers, as measured by limited duty days and holdovers.     

The impact of local labour markets on investment in further education: Evidence from the England and Wales youth cohort studies

The paper focuses on the individual's choice of activity on completion of compulsory schooling – to remain in full-time education or to seek employment – and the factors influencing this decision. Information from the England and Wales Youth Cohort Studies, coupled with labour market data, is used to estimate of logit model of choice and assess the role played by social and market factors. The results show that labour market conditions play an influential role in determining outcomes, particularly in the case of young males with weaker academic qualifications. Consistent with the time-series evidence, we find that participation rates in further education for both males and females are positively related to the unemployment rate in the local labour market, the effects being greater at times of economic recession when unemployment rates are rising. Received: 5 May 1997/Accepted: 17 July 1998     

Spouses as Co-Therapists: “Style” Variables and Implications for Patient-Therapist Matching*

The self-report responses of 24 spouse (M) and 24 non-spouse (NM) professional co-therapist pairs were compared on a variety of in-therapy behaviors. The therapist groups were also divided into experienced (E) and inexperienced (IE) co-therapist pairs. Results indicated that, in general, M co-therapists, and particularly E-M co-therapists, were significantly more alike in self-described in-therapy behaviors than NM co-therapists. M therapists reported significantly more congruence in activity levels and quality of “feeling responsiveness” than NM therapists. These results are discussed in terms of the advantages and disadvantages of the co-therapist “united front” likely to be perceived by patients of spouse co-therapists. General implications for matching patients and co-therapists are considered     

Ethics of the Spirit: Comparing Ethical Views and Usages of Spiritually Influenced Interventions

Abstract

Social work practice takes many different forms, depending on purpose and context. An increased diversity in fields and methods of practice has driven the need to explore the intersection between acceptable standards of practice and issues pertaining to religion and spirituality. This discussion utilises the opportunity to co-report on the findings of a selection of similar questions gathered from two independent online survey studies, conducted one year apart, with members of the Australian Association of Social Workers. One study explored attitudes and behaviours about ethical conduct, and the other investigated the role of religion and spirituality in social work practice. Findings from the questions in common, about the acceptability and practice of spiritually-influenced forms of intervention, are presented. These indicate a degree of acceptance, conditional acceptance, and usage for some interventions, and clear non-acceptance and non-usage of others. Implications for ethical thinking in practice, education, and research are explored.     

Experienced harms from substance use among college students: A latent class analysis

ABSTRACT

Many college students experience personal consequences from their own substance use as well as secondhand effects resulting from other students’ substance use. Our study identifies meaningful subgroup response patterns representing the construct of experienced harms, that is, the combined harms resulting from personal substance use and the substance use of others. In this sample six latent classes of harms experienced by participants were identified. The classes ranged from a No Harms group to a group of eleven harms – Severe Harms. We demonstrated that harms class membership was directly related to the level of involvement with substances. As the level of substance use increased – demonstrated by membership in latent classes of progressive involvement with substances – the odds of membership in a more serious experienced harms class increased. Participants reporting early onset of any substance were more likely to be members in any of the experienced harms latent classes than members of the No Harms class. Elucidating the exposure to harm associated with college student substance use behavior through an expanded focus on the patterns of experienced effects (i.e., personal consequences and secondhand effects) advances current research on a nationally-recognized problem.